Thesis (M.S.)--University of Michigan, 1980.

Thesis (M.S.)--University of Michigan, 1979.

Thesis (M.S.)--University of Michigan, 1988.

Thesis (Ph. D.)--Oregon State University, 2006. / Printout. Includes bibliographical references (leaves 120 -129). Also available on the World Wide Web.

Thesis (Ph. D.)--Oregon State University, 2006. / Includes bibliographical references (leaves 120 -129). Also available online (PDF file) by a subscription to the set or by purchasing the individual file.

Thesis (Ph. D.)--Oregon State University, 2006. / Includes bibliographical references (leaves 120 -129).

Sammanfattning Syftet med denna litteraturstudie var att beskriva arbetsterapeutiska interventioner vid sjukdomsrelaterad fatigue samt deras effekter. För att besvara studiens syfte valdes en litteraturstudie med grund i analys av kvantitativ forskning, resultatet av denna litteraturstudie baserades på arton artiklar. Resultatet visade att de flesta av de arbetsterapeutiska interventionerna var aktivitetsfokuserade och byggde på self-management principen där arbetsterapeutens roll är att hjälpa och stötta personen att hantera sin fatigue. Den mest förekommande interventionen var Fatigue Management kurs som beskrevs i nio artiklar och där alla inkluderade personer med MS-diagnos. I elva av artiklarna framkom att interventionerna hade effekt på sjukdomsrelaterad fatigue. Fatigue var det primära utfallsmåttet som mättes i de flesta artiklarna. Det mest förekommande bedömningsinstrument som användes för att mäta effekten av interventionerna var instrument som bedömde påverkan av fatigue till exempel Modified Fatigue Impact Scale (MFIS) och Fatigue Severity Scale (FSS). Slutsatsen av denna studie är att det främst finns studier där arbetsterapeutiska interventioner vid MS relaterad fatigue är studerat och att dessa har positiv effekt på fatigue. Däremot finns en kunskaplucka om vilka arbetsterapeutiska interventioner som används vid sjukdomsrelaterad fatigue vid till exempel cancer, reumatiska sjukdomar eller förvärvade hjärnskador samt vilken eventuell effekt de har. Nyckelord: Occupational therapy, fatigue, patient education, self-management. / Abstract The purpose of this literature study was to describe occupational therapeutic interventions in illness-related fatigue and their effects. In order to answer the purpose of the study, a literature study was chosen based on analysis of quantitative research. The results of this literature study were based on eighteen articles. The results showed that most of the occupational therapy interventions were activity-focused and based on the self-management principle, where the role of the occupational therapist is to help and support the person to handle his fatigue. The most common intervention was the Fatigue Management course described in nine articles, and all of which were conducted with people with MS diagnosis. In eleven of the articles it showed that the interventions had effect on illness-related fatigue. Fatigue was the primary outcome measure measured in most articles. The most commonly used assessment tool used to measure the effect of interventions was instruments that assessed the impact of fatigue, such as Modified Fatigue Impact Scale (MFIS) and Fatigue Severity Scale (FSS). The conclusion of this study is that there are mainly studies where occupational therapy interventions in MS related fatigue have been studied and that they affect fatigue positively. On the other hand, there is a knowledge gap about which occupational therapy interventions are used in illness-related fatigue in, for example, cancer, rheumatic diseases or acquired brain injuries as well as any possible effect. Keywords: Occupational therapy, fatigue, patient education, self-management.

This study used the research method of phenomenology to elicit the patient's perspective of the illness experience following a myocardial infarction (MI). The purpose of studying this experience was to gain an understanding of what it meant to men and women to have a MI, what the learning needs were following a MI, and how these learning needs were met. It was proposed that patients would view the illness experience differently from health professionals, thus the patients would identify different learning needs. Anderson's (1985) adaptation of Kleinman's health care system framework was used to conceptualize this problem. Three males and two females, ranging in age from 42 to 77 years, participated in the study. Data were collected through 11 in-depth interviews. From analysis of this data significant statements were extracted to provide a description of the phenomenon under study. The findings of this study suggest that health professionals and patients do view the MI experience from different perspectives. The emphasis of the patients on understanding the MI experience from the reality of their world is reflected in their attempts to rationalize the occurrence of the MI and their desires to know more about their own MI, prognosis, and treatment. In order to plan patient education that will assist post-MI patients in their recovery health professionals must assess patients individually for their: (1) beliefs regarding risk factors and causes of MI; (2) desire for Information; (3) preference for method of instruction; and, (4) preference for timing of education. / Applied Science, Faculty of / Nursing, School of / Graduate

No description available.

The overall aim of this thesis was to describe pregnant women's and partners' views and experiences on early prenatal screening with the combined test, with special focus on the two-step information model. Interviews were performed with 15 couples who had taken part in the extended information visit about prenatal screening, describing their perceptions of the information model (I) and ten couples or women of those, for a follow-up interview exploring their decision-making process (II). Seven couples, who had not taken part in the extended information visit, were interviewed describing their views and experiences about prenatal screening (III). A questionnaire was answered by 295 women and by 223 partners about their satisfaction about the decision whether or not to participate in the combined test, and their assessment of whether or not this choice had been difficult (IV). The results showed that different opinions were expressed about the offer of the extended information visit. The separate visit was welcomed by most couples (I). The decision-making process regarding whether to take part in the test or not was described by most couples as a fairly straightforward decision, while for others it was a more complex process that required a great deal of consideration (II). An apprehension of the test, by some of those who had refrained the extended information visit, was that it was an expression of society's involvement in decisions that belong to the expectant parents (III). Ninety-three percent of both women and partners considered the decision about participating in the combined tests as uncomplicated, and well over 90%, of both women and partners were satisfied with their decision (IV). The conclusions in this thesis, are that the decision whether or not to participate in the combined test is multidimensional and influenced by different views. The two-step information model helped the pregnant woman and the partner to make a decision in a fairly straightforward process or a more complex process with mixed feelings.